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NURS612 Questions and Answers (100% Correct Answers) Already Graded A+

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NURS612 Questions and Answers (100% Correct Answers) Already Graded A+

Institution
NURS612
Course
NURS612

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NURS612 Questions and Answers (100%
Correct Answers) Already Graded A+


On your patient schedule see a diagnosis of plagiocephaly on
your patient schedule. You vaguely recall learning something
about this in Nurs 612 so you check UpToDate and are able to
explain the etiology of this head growth disturbance is to the
parents of this 4-month-old :
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A. Your child's head appears small. His head size is 2 SD below the
mean, this can result abnormal brain development from a genetic
or teratogenic exposure
B. Your child's head appears flat. This form of craniostenosis can
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result from premature fusion of lambdoidal or coronal skull sutures
and often results in brain injury.
C. Your child's head appears large. His head size is 2 SD above the
mean, this can result from hydrocephalus while skull sutures are
open.
D. Your child's head appears flat. This form of craniostenosis can
result from premature fusion of lambdoidal or coronal skull sutures
and is often only cosmetic and can be treated with a s—Ans: D.
Your child's head appears flat. This form of craniostenosis can
result from premature fusion of lambdoidal or coronal skull sutures
and is often only cosmetic and can be treated with a special
helmet.
During a 1-week-old male well child check the head
circumference is 3 S.D. (standard deviations) below the predicted
mean. What risk factors increases the risk of this finding?
A. Positioning infant on their back
B. Prenatal Zika virus exposure
C. Hydrocephaly

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D. Subdural hematoma or tumor—Ans: B. Prenatal Zika virus
exposure
You are seeing a 6-month-old today for follow-up after a febrile
seizure yesterday. On exam you expect to find:
A. the anterior fontanel closed.
B. the posterior fontanel closed
C. sleepiness from a post-ictal state
D. nuchal rigidity—Ans: B. the posterior fontanel closed
You are examining a 22-month-old today for follow-up after a with
a new sudden onset of jerking movements while febrile earlier
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today. Which of the following is not typical of this type seizure?
A. Positive family history
B. Age onset between 3 months and 5 years
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C. Seizure lasting more than 15 minutes
D. Most likely to occur with a rapid rise in body temperature—Ans:
C. Seizure lasting more than 15 minutes
A 15-year-old with a diagnosis of epilepsy had a seizure in your
office lasting 12 minutes requiring rectal diazepam (Valium). He is
stable in a postictal state. His parents express concern as his last
seizure was 2 years ago and he wanted to be weaned off his
phenytoin (Dilantin).Which of the following may have contributed
to this seizure?
A. Experimentation with alcohol consumption which lowers seizure
threshold.
B. Recent growth spurt resulting in decreased kg/mg dosage
C. Adolescent may be challenging diagnosis and non-compliant
with phenytoin regimen
D. All choices are correct—Ans: D. All choices are correct
What question in an adolescent's history is the MOST important to
ask concerning new onset of headaches?
A. Alcohol use

, 3
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B. Caffeine use
C. History of headache most severe when arising from sleep
D. Positive family history for headaches—Ans: C. History of
headache most severe when arising from sleep
A 17-year-old arrives for evaluation of a headache. He states it is
worse in the morning and does not respond to ibuprofen. His
caffeine intake has not changed, he has no known head trauma.
On exam you note he is slow to respond to questions and your
fundoscopic exam the optic disc borders are blurred
(papilledema). You explain your next action
A. He exhibits a focal neurological sign, order a CT
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B. He exhibits a focal neurological sign, discharge the patient
home prescribing bedrest, acetaminophen and recommend
sunglasses
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C. He exhibits no focal neurological signs, discharge the patient
home on bedrest, teaching family members signs warning signs of
increased ICP
D. He exhibits no focal neurological signs. discharge the patient
home recommending return to school, but no contact sports until
headache resolved—Ans: A. He exhibits a focal neurological sign,
order a CT
A 17-year-old gymnast presents following her competition with a
resolving headache rated 3/10, after her spotter missed her and
she fell 4 feet and struck her head. Although she did not lose
consciousness and seems fine now, her parents are concerned
because she does not remember how she got off the gym floor.
Which of the following would NOT be indicated.
A. Prescribe bedrest, acetaminophen and recommend sunglasses
if light sensitive
B. Teach warning signs of head injuryand send home on bedrest
C. Order a CT of the Head

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Course
NURS612

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